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Impact of COVID-19 on immunization of Brazilian infants
João Guilherme Alves1, José Natal Figueiroa2, Marcelo Luis Urquia3
1Department of Pediatrics, Instituto de Medicina Integral Prof. Fernando Figueira, Recife, Brazil.
Insights
Brazilian children
Area of Science:
- Pediatrics
- Public Health
- Epidemiology
Background:
- Childhood vaccination is crucial for disease prevention.
- The COVID-19 pandemic may have disrupted routine immunization services globally.
- Understanding vaccination trends in Brazil is vital for public health policy.
Purpose of the Study:
- To analyze vaccination trends in Brazilian children under one year old.
- To assess the impact of the COVID-19 pandemic on childhood immunizations in Brazil.
Main Methods:
- Utilized monthly vaccination and birth data from Brazil's DATASUS database (2017-2020).
- Employed interrupted time series analysis to compare pre- and post-March 2020 vaccination trends.
Main Results:
- No significant national-level change in vaccination trends was observed before versus during the pandemic.
- The average number of vaccinations per child was 10.6, below the scheduled 13 doses.
- Incomplete immunization in infants is a concern.
Conclusions:
- The COVID-19 pandemic did not significantly alter national vaccination trends in Brazil.
- Incomplete childhood immunization remains a public health concern in Brazil.
- Further research is needed to explore potential pandemic impacts on specific vaccines or regional disparities.
Objective:
To examine recent vaccination trends among Brazilian children during their first year of life, and the impact of the coronavirus disease 2019 (COVID-19) pandemic on these trends.
Methods:
Monthly vaccination and birth data from the DATASUS (Department of Informatics of the Unified Health System) database of the Ministry of Health of Brazil were obtained from January 2017 to December 2020. Interrupted time series analysis was used to compare vaccination trends before and after March 2020, when isolation measures were first implemented in Brazil.
Results:
There was no strong evidence of a significant change in trends during the study period, or before and during the pandemic at national level. However, the mean number of vaccinations per child was 10.6, which is lower than the 13 doses expected under the immunization schedule.
Conclusions:
Although the pandemic did not appreciably impact on vaccinations, incomplete immunization among children aged <1 year in Brazil is cause for concern. A potential impact of the COVID-19 pandemic on specific antigens or regional and sociodemographic disparities in vaccinations cannot be ruled out without further research.
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